Closure of a Large Scalp Defect Using External Tissue Expansion

Abstract

The limited laxity of the scalp and hair-bearing nature makes it difficult to optimally repair. Primary closure is limited to small defects, while healing by secondary intention requires underlying periosteum. Furthermore, the use of free flaps and skin grafting can lead to unfavorable cosmetic outcomes. This report describes a patient with a large parietal scalp dermatofibrosarcoma protuberans. Multiple resections resulted in a large scalp defect with exposed calvarium. Integra was placed over the exposed calvarium after each debridement and Negative Pressure Wound Therapy (NPWT) was applied. After granulation tissue formed, 2 DermaClose continuous external tissue expansion systems were installed. Following the application and tightening of the external tissue expanders, the wound was reduced in size, facilitating primary closure of the opposing edges. This process allowed for a large area to be covered with hair-bearing scalp with good cosmetic results.

Continuous External Tissue Expansion for Closure of Forehead Flap Donor Site

“…Chan et al 7 used CETE for the salvage of forehead reconstruction after partial necrosis of local flaps. Shikara et al 8 and Bajoghli et al 9 used a Dermaclose device for the closure of a large oncologic scalp defect.…”